J Physiol Society Meetings
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Physiology in Press

First published online on February 17, 2005.
Copyright © 2005 by The Physiological Society
This Article
Right arrow Full Text (Rapid PDF)
Right arrow All Versions of this Article:
564/2/575    most recent
jphysiol.2004.077537v1
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Löhle, M.
Right arrow Articles by Schwab, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Löhle, M.
Right arrow Articles by Schwab, M.

Received October 18, 2004
Revised November 16, 2004
Accepted after revision February 11, 2005

Betamethasone Effects on Fetal Sheep Cerebral Blood Flow are not dependent on Maturation of Cerebrovascular System and Pituitary-Adrenal Axis

Matthias Löhle1, Thomas Müller2, Carola Wicher2, Markus Roedel1, Harald Schubert2, Otto W Witte1, Peter W Nathanielsz3, and Matthias Schwab1*

1 Department of Neurology, Friedrich Schiller University, Jena, Germany
2 Institute of Laboratory Animal Science, Friedrich Schiller University, Jena, Germany
3 Department of Obstetrics & Gynecology, University of Texas Health Sciences Center, San Antonio, USA

* To whom correspondence should be addressed. E-mail: matthias.schwab{at}med.uni-jena.de.

Synthetic glucocorticoids are administered to pregnant women in premature labour to accelerate fetal lung maturation at a time when fetal cerebrovascular and endocrine systems are maturing. Exposure to glucocorticoids at 0.8 - 0.9 of gestation increases peripheral and cerebrovascular resistance (CVR) in fetal sheep. We examined whether the increase of CVR and its adverse effect on cerebral blood flow (CBF) depend on the current level of maturation of the pituitary adrenal axis and the cerebrovascular system. Using fluorescent microspheres, regional CBF was measured in 11 brain regions before, 24 h and 48 h after the start of 3.3 µg kg-1 h-1 betamethasone (n = 8) or vehicle (n = 7) infusions to fetal sheep at 0.73 of gestation. Hypercapnic challenges were performed before and 24 h after the onset of betamethasone exposure to examine betamethasone effects on cerebrovascular reactivity. Betamethasone exposure decreased CBF by approximately 40 % in all brain regions after 24 h of infusion (P < 0.05). The decline in CBF was mediated by a CVR increase of 111 ± 16 % in the cerebral cortex and 129 ± 29 % in subcortical regions (P < 0.05). Hypercapnic cerebral vasodilatation and associated increase in CBF were blunted (P < 0.05). Fetal CBF recovered after 48 h of betamethasone administration. There were no differences in glucocorticoid induced CBF and CVR changes compared with our previous findings at 0.87 of gestation. We conclude that the cerebrovascular effects of antenatal glucocorticoids are independent of cerebrovascular maturation and preparturient increase in activity of the fetal pituitary adrenal axis.


Key words: Cerebral blood flow • Corticosteroid • Fetus




This article has been cited by other articles:


Home page
J. Physiol.Home page
J. K. Jellyman, D. S. Gardner, C. M. B. Edwards, A. L. Fowden, and D. A. Giussani
Fetal cardiovascular, metabolic and endocrine responses to acute hypoxaemia during and following maternal treatment with dexamethasone in sheep
J. Physiol., September 1, 2005; 567(2): 673 - 688.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Copyright © 2005 The Physiological Society.